# PRO-REHAB AND FITNESS CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790750008
- **Authorized official:** JULIANNE BUTLER (OWNER/PRESIDENT)
- **Authorized official phone:** (719) 846-8668

## Contact information

- **Practice address:** 323 N COMMERCIAL ST, TRINIDAD, CO 81082-2611
- **Practice address phone:** (719) 846-8668
- **Practice address fax:** (719) 846-8629
- **Mailing address:** 323 N COMMERCIAL ST, TRINIDAD, CO 81082-2611
- **Mailing address phone:** (719) 846-8668
- **Mailing address fax:** (719) 846-8629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 46889001 | — | CO |